Women's use of nicotine replacement therapy in pregnancy-a structured review of the literature.
OBJECTIVE
to review the literature of women's use of nicotine replacement therapy (NRT) during pregnancy. The review will examine NRT and nicotine, interventions and barriers to smoking cessation and the literature exploring women's views on using NRT in pregnancy.


METHODS
a structured review of the literature was undertaken by accessing internet and library sources, restricted to English written articles between 1989 and 2003. Keywords were used to refine the search: pregnancy, smoking, NRT and smoking cessation.


RESULTS
several papers had examined interventions employed to aid pregnant women in smoking cessation and the efficacy of NRT. However, papers exploring the views of women on the use of NRT during pregnancy were limited.


CONCLUSIONS
smoking cessation is unique to individual women; as such, appropriate support and advice should be tailored accordingly. Further research is needed to explore the views of women using NRT during pregnancy to aid smoking cessation.


CONCLUSIONS
the findings from this structured review raise awareness of the importance of smoking cessation during pregnancy, and the inclusion of women's views when discussing the use of NRT. Understanding women's views may enhance the care and advice given by midwives, thus improving smoking cessation rates in pregnancy.
Ashwin
Cathy A
CA
Academic Division of Midwifery, PGEC, Nottingham University Hospital NHS Trust, City Hospital Campus, Hucknall Road, Nottingham NG5 1PB, UK. c.ashwin@btopenworld.com
Watts
Kim
K
D005260:Female; D005731:Ganglionic Stimulants / Q000627:therapeutic use*; D006301:Health Services Needs and Demand; D006801:Humans; D009538:Nicotine / Q000627:therapeutic use*; D009721:Nurse Midwives; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D012107:Research Design; D012907:Smoking / Q000453:epidemiology / Q000523:psychology; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology / Q000706:statistics & numerical data; D000074606:Smoking Prevention; D012944:Social Support
D005731:Ganglionic Stimulants; D009538:Nicotine